Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Chicago Family Health Center, Inc. (NPI 1245266337)

Field	Value
Entity Type	Organization
Organization	Chicago Family Health Center, Inc.
Address	9119 S. Exchange Ave.
City	Chicago
State	IL
ZIP	60617
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 23, 2006

Payer Source	Total Paid
Medicaid	$65.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scope: there is no Medicare billing on file and total Medicaid revenue is $65.5M, indicating that Medicaid is the primary and dominant source of billed revenue for CHICAGO FAMILY HEALTH CENTER, INC. Analysts should treat Medicaid policy and rate changes as the primary commercial risk vector for the organization.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 99.4% of this provider's total Medicaid revenue, with T1015 generating $61.3M (93.6%), D0999 producing $3.1M (4.7%), and T1040 contributing $796.9K (1.2%). This concentration means the provider’s financial performance is heavily dependent on sustained payment and utilization for a very small set of billing lines.

The service mix aligns with an FQHC encounter‑based operating model: T1015 (Clinic visit/encounter, all‑inclusive) is the dominant code with 431.7K claims at $142 avg paid/claim, which is consistent with comprehensive primary‑care visit bundles typical of Federally Qualified Health Centers. The prevalence of T1015 suggests the organization runs high‑volume, all‑inclusive clinic encounters rather than relying on higher‑acuity procedure billing.

Behavioral health is a material secondary offering: T1040 (Medicaid certified community behavioral health clinic services, per diem) ranks #5 of 191 providers in‑state (98th percentile; extreme outlier) and 90791 (psychiatric evaluation) shows 11K claims and ranks #3 of 752 providers (100th percentile; extreme outlier). Those data points indicate an established, high‑volume behavioral health capability embedded in the FQHC model.

The provider also reports notable dental and ancillary volumes even though they represent a small share of revenue: multiple dental codes (D0210, D0220, D0150, D7140, D2391) and ancillary codes such as 99000 (7.1K claims, $4 avg paid/claim; ranks #4 of 436, 99th percentile) appear in the top code list, indicating that the clinic offers integrated dental, immunization (90686), and specimen‑handling services at scale relative to most in‑state peers. These lines are high in claim counts but low in per‑claim payments, consistent with Medicaid reimbursement patterns.

Competitive standing within Illinois is strong on the provider’s top lines: T1015 ranks #9 of 846 providers in‑state (99th percentile; extreme outlier) and T1040 ranks #5 of 191 (98th percentile; extreme outlier), marking CHICAGO FAMILY HEALTH CENTER as a major statewide provider for clinic‑visit and community behavioral health per‑diem billing. D0999’s rank (#14 of 219, 94th percentile; notably above typical) further supports a statewide leadership position on several high‑volume codes.

Operational and reimbursement dynamics warrant attention: very large claim volumes at modest average payments (e.g., T1015 431.7K claims at $142 avg paid/claim, 90791 11K claims at $1 avg paid/claim) imply the organization depends on throughput and bundled encounter payments rather than high‑margin procedural revenue. This profile affects staffing, productivity expectations, and sensitivity to per‑visit payment changes.

The provider is long‑tenured in the Medicare/Medicaid ecosystem with NPI enumeration dated 2006‑06‑23 (~20 years ago), supporting the conclusion that its high Medicaid volumes and code concentrations reflect an established operational model and patient base rather than a recent ramp‑up in services.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

158 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	431,680	$140	$61.3M
D0999	N/A	27,520	$110	$3.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	11,720	$70	$796.9K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	80	$920	$73.9K
0001A	N/A	1,310	$40	$53.7K
0002A	N/A	1,100	$40	$46.1K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	7,090	$1	$28.4K
0071A	N/A	640	$40	$26.8K
0072A	N/A	580	$40	$24.5K
0003A	N/A	470	$40	$19.6K

Showing 1–10 of 158

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

Claims Volume vs. Illinois Distribution

Chicago Family Health Center, Inc. — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

158 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	9	850	7,490	$120	$3.9M
D0999	N/A	14	220	1,090	$110	$610.1K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	61	170	50	$910	$144.1K
T1040	Medicaid certified community behavioral health clinic services, per diem	5	190	880	$70	$128.2K
D1120	Prophylaxis–child	322	2,140	960	$40	$89.1K
D1351	Sealant - per tooth	525	1,270	530	$60	$87.1K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	115	510	230	$160	$83.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	271	760	140	$110	$67.3K
D0120	Periodic oral evaluation - established patient	259	2,170	1,010	$30	$64.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3	960	330	$30	$51K

Showing 1–10 of 158

Related Providers

Other providers that share a Tax Identification Number (TIN) with Chicago Family Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cornelius Mitchell	IL	Family Medicine Physician	$90.9K	$306.5K
Krystle Miles	IL	Family Medicine Physician	$300K	$26.6K

Nearby Providers

Other providers in the same ZIP code as Chicago Family Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metropolitan Family Services	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8M
Access Community Health Network	IL	Federally Qualified Health Center (FQHC)	$0	$4.4M
Aunt Martha's Health And Wellness, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$4.3M
Jondelle Jenkins	IL	Podiatrist	$51.7K	$1.7M
Sandra Hunter Bass	IL	Clinical Social Worker	$213.3K	$1.1M
Ranjit Wahi	IL	Anesthesiology Physician	$86.6K	$2.4K
Liliana Martinez	IL	Mental Health Counselor	$42.8K	$35.3K
Michael Wood	IL	Podiatrist	$47.1K	$0
Winston Mitchell	IL	Anesthesiology Physician	$17.5K	$1.8K
Sumol Nedumgottil	IL	Anesthesiology Physician	$5.1K	$8.6K

Chicago Family Health Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Chicago Family Health Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Chicago Family Health Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Chicago Family Health Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References